Individual
AUTUMN CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4500 CASCADE RD SE, GRAND RAPIDS, MI 49546-3665
(616) 277-7533
Mailing address
4793 WAKEFIELD AVE NE, COMSTOCK PARK, MI 49321-8958
(810) 449-9715
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
451024603
MI
Other
Enumeration date
09/30/2025
Last updated
09/30/2025
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